Individual
TRACI GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
20 YORK STREET, YALE NEW HAVEN HOSPITAL HEART CENTER, NEW HAVEN, CT 06504
(203) 688-1690
Mailing address
50 OVERBROOK RD, MADISON, CT 06443-1953
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
002298
CT
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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